CALEY ROBERTS (PA) – Physician Assistant, NPI 1902200355

CALEY ROBERTS (PA) is a healthcare provider. based in Scott city, Kansas. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 15-01750 (KS). The NPI Number for CALEY ROBERTS (PA) is 1902200355

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CALEY ROBERTS (PA)
NPI
1902200355
Phone
(620) 872-2187
Address
201 ALBERT AVE
Enumeration Date
14 October 2014
Last Update Date
29 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6208722187
Graduation Year
2014 (12 years ago)
PAC ID
2668794835
Group Practice PAC ID
5991773103
Professional Enrollment ID
I20150413001394
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for CALEY ROBERTS (PA)

  • 201 ALBERT AVE

    SCOTT CITY, KS 67871

    Phone: (620) 872-2187

    Fax: (620) 872-7193

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220912002781IPhysician AssistantSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3232$0
99283Emergency department visit with low level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 67871)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991773103View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
-KS
Clinical PsychologistID
Family PracticeKS
Nurse PractitionerKS
Physician AssistantCO
Physician AssistantKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

What federal number belongs to CALEY ROBERTS (PA)?
The federal identifier for CALEY ROBERTS (PA) is NPI 1902200355.
Is CALEY ROBERTS (PA)'s NPI currently valid?
The extract we use shows CALEY ROBERTS (PA) as active.
What kind of provider is CALEY ROBERTS (PA)?
The page reflects Physician Assistant for CALEY ROBERTS (PA). Clinical services aligned with this taxonomy classification.
Does CALEY ROBERTS (PA) practice in Kansas?
You will see Scott City, Kansas on file for CALEY ROBERTS (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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